Pain Posts

Chiropractic treatment as a fix for ‘rib fixation’ or scapular pain

Chiropractic treatment as a fix for ‘rib fixation’ or scapular pain Primary care medical doctors often refer their patients who have been suffering from upper back and shoulder pain to us. Many of those patients describe their symptom as “pain under my shoulder blade.” Doctors who are trained to analyze musculoskeletal complaints will refer these cases they label “rib fixation.” What that means is the inflammation of the muscles and nerves in the area where the joint, which connects the rib to the spine, is not moving properly. This condition can transfer pain into the arm if it begins to affect the group of nerves that transition nerves from the neck to the arm (the brachial plexus). So how does a rib fixation occur and what can be done to fix it? Rib head fixations happen when there is abnormal biomechanical stress put onto the upper back (thoracic spine) and or the chest. For example, fathers who let their children sit on their shoulders to watch Disney parades often visit our chiropractic office in downtown Orlando. The child’s weight compresses their upper back forward, but because of the cartilage supporting the ribs in their chest, the ribs as they attach to the spine (rib head) are forced backwards. This causes inflammation of the muscles in the area which then locks the rib in that position. Ribs, however, are designed to move. The rib moves up and down with each breath, allowing your lungs to expand properly. This explains why patients with rib head fixation can also experience pain when breathing. Another common cause of upper back pain from rib fixations is chest trauma. Imagine two people on a soccer field...

Read More

Plantar fasciitis vs plantar fasciosis, similar names, different treatments

Plantar fasciitis vs plantar fasciosis, similar names, different treatments Do you wake up every morning with excruciating pain in the bottom of your foot? If so, then you are among the nearly 10% of people who will experience heel pain at some point in their lives. Our Orlando staff regularly treats patients with musculoskeletal conditions and one of the most common diagnoses we see for foot conditions is plantar fasciitis. Though this may be a term you’ve heard before, it’s important to understand the differences between fasciitis and a similar-sounding condition called fasciosis which has a dramatically different treatment. Plantar fasciitis (pronounced: fa-SITE-iss) The plantar fascia is the web-like structural ligament connecting the heel to the bones near the ball of the foot and toes. This ligament or tissue provides structural support to the arch of the foot and is prone to injury with overuse and decreased circulation. Plantar fasciitis is the initial stage of inflammation that happens in response to injury of the tissue. In younger people, running is the most common cause. This makes sense as each time your heel strikes the ground, some cells are damaged. Over time you create inflamed tissues in the area. For elderly patients, the most common causes for inflammation include degeneration of the ligament, arthritis, and diabetes. Plantar fasciosis (pronounced fa-SEE-osis) Plantar fasciosis is considered a chronic condition of the ligament. Arteries pass from your leg through your ankle providing circulation for your foot. One of these, the posterior tibial artery, is important because it provides blood flow to the bottom of the foot. It becomes compressed when your big toe is bent inward towards the other toes cutting off...

Read More